Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0 - STU 2.2 United States of America flag

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

Extension: Item Authorized Detail

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail Version: 2.2.0
Standards status: Trial-use Active as of 2026-03-02 Maturity Level: 4 Computable Name: ItemAuthorizedDetail
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.19

The details of what has been authorized for this item.

Context of Use

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Item Authorized Detail
... Slices for extension Content/Rules for all slices
.... extension:productOrServiceCode 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "productOrServiceCode"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: X12278RequestedServiceType (2.2.0) (required)
.... extension:productOrServiceCodeEnd 0..1 CodeableConcept Product or Service Code End
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd
Binding: X12278RequestedServiceType (2.2.0) (required)
.... extension:modifier 0..* Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "modifier"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: X12278RequestedServiceModifierType (2.2.0) (required)
.... extension:unitPrice 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "unitPrice"
..... value[x] 0..1 Money Value of extension
.... extension:quantity 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "quantity"
..... value[x] 0..1 PASQuantity(2.2.0) Value of extension
.... extension:epsdtIndicator 0..1 boolean EPSDT Indicator
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator
.... extension:nursingHomeLevelOfCare 0..1 CodeableConcept Nursing Home Level of Care
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare
Binding: https://valueset.x12.org/x217/005010/request/2000F/SV1/1/20/00/1337 (required): Codes specifying the level of care provided by a nursing home facility. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
.... extension:revenue 0..1 CodeableConcept Revenue Code
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueCode
Binding: AHANUBCRevenueCodes (2.2.0) (required)
.... extension:revenueUnitRateLimit 0..1 decimal Revenue Unit Rate Limit
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit
.... extension:authorizedService 0..1 Reference(PAS Medication Request(2.2.0) | PAS Service Request(2.2.0) | PAS Device Request(2.2.0) | PAS Nutrition Order(2.2.0)) Requested Service
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail"
... value[x] 0..0 Value of extension

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.extension:productOrServiceCode.​value[x] Base required X12 278 Requested Service Type 📍2.2.0 This IG
Extension.extension:modifier.​value[x] Base required X12 278 Requested Service Modifier Type 📍2.2.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Item Authorized Detail
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:productOrServiceCode 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "productOrServiceCode"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: X12278RequestedServiceType (2.2.0) (required)
.... extension:productOrServiceCodeEnd 0..1 CodeableConcept Product or Service Code End
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd
Binding: X12278RequestedServiceType (2.2.0) (required)
.... extension:modifier 0..* Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "modifier"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: X12278RequestedServiceModifierType (2.2.0) (required)
.... extension:unitPrice 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "unitPrice"
..... value[x] 0..1 Money Value of extension
.... extension:quantity 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "quantity"
..... value[x] 0..1 PASQuantity(2.2.0) Value of extension
.... extension:epsdtIndicator 0..1 boolean EPSDT Indicator
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator
.... extension:nursingHomeLevelOfCare 0..1 CodeableConcept Nursing Home Level of Care
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare
Binding: https://valueset.x12.org/x217/005010/request/2000F/SV1/1/20/00/1337 (required): Codes specifying the level of care provided by a nursing home facility. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
.... extension:revenue 0..1 CodeableConcept Revenue Code
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueCode
Binding: AHANUBCRevenueCodes (2.2.0) (required)
.... extension:revenueUnitRateLimit 0..1 decimal Revenue Unit Rate Limit
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit
.... extension:authorizedService 0..1 Reference(PAS Medication Request(2.2.0) | PAS Service Request(2.2.0) | PAS Device Request(2.2.0) | PAS Nutrition Order(2.2.0)) Requested Service
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:productOrServiceCode.​value[x] Base required X12 278 Requested Service Type 📍2.2.0 This IG
Extension.extension:modifier.​value[x] Base required X12 278 Requested Service Modifier Type 📍2.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Complex Extension: The details of what has been authorized for this item.

  • productOrServiceCode: CodeableConcept: An Extension
  • modifier: CodeableConcept: An Extension
  • unitPrice: Money: An Extension
  • quantity: Quantity: An Extension

Maturity: 4

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Item Authorized Detail
... Slices for extension Content/Rules for all slices
.... extension:productOrServiceCode 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "productOrServiceCode"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: X12278RequestedServiceType (2.2.0) (required)
.... extension:productOrServiceCodeEnd 0..1 CodeableConcept Product or Service Code End
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd
Binding: X12278RequestedServiceType (2.2.0) (required)
.... extension:modifier 0..* Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "modifier"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: X12278RequestedServiceModifierType (2.2.0) (required)
.... extension:unitPrice 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "unitPrice"
..... value[x] 0..1 Money Value of extension
.... extension:quantity 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "quantity"
..... value[x] 0..1 PASQuantity(2.2.0) Value of extension
.... extension:epsdtIndicator 0..1 boolean EPSDT Indicator
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator
.... extension:nursingHomeLevelOfCare 0..1 CodeableConcept Nursing Home Level of Care
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare
Binding: https://valueset.x12.org/x217/005010/request/2000F/SV1/1/20/00/1337 (required): Codes specifying the level of care provided by a nursing home facility. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
.... extension:revenue 0..1 CodeableConcept Revenue Code
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueCode
Binding: AHANUBCRevenueCodes (2.2.0) (required)
.... extension:revenueUnitRateLimit 0..1 decimal Revenue Unit Rate Limit
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit
.... extension:authorizedService 0..1 Reference(PAS Medication Request(2.2.0) | PAS Service Request(2.2.0) | PAS Device Request(2.2.0) | PAS Nutrition Order(2.2.0)) Requested Service
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail"
... value[x] 0..0 Value of extension

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.extension:productOrServiceCode.​value[x] Base required X12 278 Requested Service Type 📍2.2.0 This IG
Extension.extension:modifier.​value[x] Base required X12 278 Requested Service Modifier Type 📍2.2.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Item Authorized Detail
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:productOrServiceCode 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "productOrServiceCode"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: X12278RequestedServiceType (2.2.0) (required)
.... extension:productOrServiceCodeEnd 0..1 CodeableConcept Product or Service Code End
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd
Binding: X12278RequestedServiceType (2.2.0) (required)
.... extension:modifier 0..* Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "modifier"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: X12278RequestedServiceModifierType (2.2.0) (required)
.... extension:unitPrice 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "unitPrice"
..... value[x] 0..1 Money Value of extension
.... extension:quantity 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "quantity"
..... value[x] 0..1 PASQuantity(2.2.0) Value of extension
.... extension:epsdtIndicator 0..1 boolean EPSDT Indicator
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator
.... extension:nursingHomeLevelOfCare 0..1 CodeableConcept Nursing Home Level of Care
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare
Binding: https://valueset.x12.org/x217/005010/request/2000F/SV1/1/20/00/1337 (required): Codes specifying the level of care provided by a nursing home facility. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
.... extension:revenue 0..1 CodeableConcept Revenue Code
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueCode
Binding: AHANUBCRevenueCodes (2.2.0) (required)
.... extension:revenueUnitRateLimit 0..1 decimal Revenue Unit Rate Limit
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit
.... extension:authorizedService 0..1 Reference(PAS Medication Request(2.2.0) | PAS Service Request(2.2.0) | PAS Device Request(2.2.0) | PAS Nutrition Order(2.2.0)) Requested Service
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:productOrServiceCode.​value[x] Base required X12 278 Requested Service Type 📍2.2.0 This IG
Extension.extension:modifier.​value[x] Base required X12 278 Requested Service Modifier Type 📍2.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Complex Extension: The details of what has been authorized for this item.

  • productOrServiceCode: CodeableConcept: An Extension
  • modifier: CodeableConcept: An Extension
  • unitPrice: Money: An Extension
  • quantity: Quantity: An Extension

Maturity: 4

 

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